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Heart and Vessels

, Volume 23, Issue 1, pp 26–34 | Cite as

Anomalous coronary arteries in adults detected by multislice computed tomography: presentation of cases from multicenter registry and review of the literature

  • Sei Komatsu
  • Yuichi SatoEmail author
  • Makoto Ichikawa
  • Taeko Kunimasa
  • Shingo Ito
  • Takuro Takagi
  • Tetsuo Lee
  • Naoya Matsumoto
  • Tadateru Takayama
  • Miroru Ichikawa
  • Atsushi Hirayama
  • Masayoshi Mishima
  • Satoshi Saito
  • Kazuhisa Kodama
Original Article

Abstract

Anomalous coronary arteries are a rare condition, but they may cause myocardial ischemia, heart failure, and sudden death. We evaluated the prevalence and multislice computed tomographic (MSCT) findings of anomalous coronary arteries in a large number of patients from the multicenter registry. At four institutes, 29 (0.74%) out of 3910 patients were found to have anomalous coronary arteries by MSCT. They consisted of 15 patients with anomalous origins of the right coronary artery, 1 with right-sided origin of the left circumflex artery, 1 with right-sided origin of the left main coronary artery, 2 with double right coronary arteries, 2 with the absence of the left circumflex artery, 1 with absence of the right coronary artery, 6 with coronary artery fistulas, and 1 with Bland-White-Garland syndrome. Multislice computed tomography findings were consistent with those obtained by conventional coronary angiography in all 14 patients undergoing both diagnostic procedures. Multislice computed tomography permits three-dimensional comprehension of coronary arteries, which is suitable for the diagnosis of anomalous coronary arteries.

Key words

Anomalous coronary artery Multislice computed tomography 

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Copyright information

© Springer Japan 2008

Authors and Affiliations

  • Sei Komatsu
    • 1
  • Yuichi Sato
    • 2
    Email author
  • Makoto Ichikawa
    • 2
  • Taeko Kunimasa
    • 3
  • Shingo Ito
    • 3
  • Takuro Takagi
    • 3
  • Tetsuo Lee
    • 3
  • Naoya Matsumoto
    • 2
  • Tadateru Takayama
    • 2
  • Miroru Ichikawa
    • 4
  • Atsushi Hirayama
    • 1
  • Masayoshi Mishima
    • 4
  • Satoshi Saito
    • 3
  • Kazuhisa Kodama
    • 1
  1. 1.Cardiovascular DivisionOsaka Police HospitalOsakaJapan
  2. 2.Department of CardiologyNihon University School of MedicineChiyoda-ku, TokyoJapan
  3. 3.Division of CardiologyToshiba HospitalTokyoJapan
  4. 4.Cardiovascular DivisionKawachi General HospitalHigashi-OsakaJapan

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